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LGBTQ Bar Association of Maryland
2019/2020 Membership Application/Renewal
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Email
*
Your email
Name
*
Your answer
Pronouns
Your answer
Firm/Organization
Your answer
Address
*
Your answer
Phone
Your answer
Fax
Your answer
Counties of Practice
Your answer
Practice Areas
Your answer
I am licensed to practice law in the following jurisdictions
Maryland
Other:
I would like to join the following committee(s)
Judicial Selections
Membership/Social Networking
Mentor/Mentee
Organizational Task Force
Program Committee
Fundraising Committee
Membership Level (Dues)
*
Law student or other non-lawyer legal professional (Free)
Lawyer barred for less than 5 years ($10)
Lawyer barred for 5 years or more ($20)
I would like to make an additional donation in the following amount:
Your answer
The LGBTQ Bar may need to provide information about its membership to the MSBA in order to remain in good standing:
Check this box if you would like any information beyond your email address to remain confidential.
Please pay dues online at
https://squareup.com/store/lgbtq-bar-association-of-md
or mail dues payment to LGBTQ Bar Association of Maryland , P.O. Box 41088, Baltimore, MD 21203.
A copy of your responses will be emailed to the address you provided.
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